Provider Demographics
NPI:1821838798
Name:LILLI HEALTH
Entity type:Organization
Organization Name:LILLI HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MS, RD
Authorized Official - Phone:806-441-7275
Mailing Address - Street 1:PO BOX 3021
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77552-0021
Mailing Address - Country:US
Mailing Address - Phone:806-441-7275
Mailing Address - Fax:
Practice Address - Street 1:906 LONG REACH DR
Practice Address - Street 2:
Practice Address - City:TIKI ISLAND
Practice Address - State:TX
Practice Address - Zip Code:77554-2845
Practice Address - Country:US
Practice Address - Phone:806-441-7275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty